NATIONAL ASSOCIATION OF DEANS AND DIRECTORS OF SCHOOLS OF SOCIAL WORK

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NATIONAL ASSOCIATION OFDEANS AND DIRECTORSOF
SCHOOLS OF SOCIAL WORK
Research Plenary Jack M. Richman, Ph.D. Dean,
School of Social Work University of North
Carolina at Chapel Hill

• San Antonio, TexasFALL CONFERENCESeptember 17,
  2005

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Model for Evidence-Based Practice Decisions
Clinical State Circumstances
Clinical Expertise
Clients Preferences Actions
Research Evidence
Source Haynes, Devereaux, and Guyatt
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Intervention Research Stakeholders Practice

• Practitioner
• Recognize the importance of social intervention
  research data driven practice.
• Have knowledge needed to implement evidence
  supported practices.
• Have time and technology available to engage in
  process of research review and synthesis.

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Intervention Research Stakeholders Practice

• Client system
• Client concerns, values, goals preferences
• Client situation, circumstance, strengths,
  culture, ethnicity, and support systems

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Intervention Research Stakeholders Practice

• Agency
• Agency as a learning organization willing to
  engage in and support the process of data driven
  practice.
• Maintain a team of supervisors practitioners
  who support engage in creative dialogue
  clinical implementation informed by social
  intervention research data.
• Provide available time technology to implement
  social intervention research.

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Intervention Research Stakeholders Practice

• Macro delivery system
• Administrative systems funding sources must
  support the intersecting roles of intervention,
  research, practice.
• Administrative systems funding sources must
  support the research practice activities
  resulting time obligations.
• Implications of privatizing mental health service
  delivery in some states no reimbursement for
  research or practice that does not fit with
  State definition of EBP.

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Intervention Research Stakeholders University

• Curriculum
• Teach the integration of social intervention
  research, data-driven practice, and clinical
  skills expertise.
• Teach the practice strategies that are supported
  by data (e.g., cognitive behavioral therapy,
  family psycho-education, social skills training,
  multisystemic family therapy, DBT).
• Teach methods that are critical to implementation
  (group work, home visitation)

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Intervention Research Stakeholders University

• Knowledge creation and dissemination
• Publications and presentations
• Tenure and promotion requirements
• Research design issues
• smaller sample size
• requires relationship development with agencies
  and/or clients, prior consent, complicated IRB
  issues, and language issues.
• Possible lack of control groups, the inability to
  withhold treatment or services to clients,
  non-randomized samples, intersectionality, etc.

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Reimbursable Evidence-Based Practice Treatments
in Adult Mental Health

• Assertive Community Treatment
• Illness Management and Recovery
• Medication Management
• Family Psycho-Education
• Supported Employment
• Co-occurring Disorders Integrated Dual Disorders
  Treatment

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Operationalizing Approved EBP Skills in Adult
Mental Health

• Help with social and family relationships
• Crisis management
• Counseling psycho-education with family
  extended family
• Coordination with family service agencies
• Help to find volunteer and vocational
  opportunities
• Provide liaison with and education employers
• Serve as job coach for consumers
• Provide preventive health education
• Conduct medical screening
• Provide reproductive counseling and sex education

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Operationalizing Approved EBP Skills in Adult
Mental Health

• Provide education about medication
• Monitor medication compliance and side effects
• Secure leases and pay rent
• Purchase and repair household items
• Develop relationships with landlords
• Improve housekeeping skills
• Financial management
• Counseling
• Use problem-oriented approach
• Integrate counseling into continuous work

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Other Reimbursable EBP Treatments in Mental Health

• Child Mental Health
• Multisystemic Therapy
• Intensive In-home Services
• Substance Abuse
• Cognitive Behavioral Treatment (CBT)
• Medication Assisted Treatment (Methadone, LAAM,
  Buprenorphine).
• Motivational Enhancement Therapy (MET)

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Models for Social Intervention Research

• Practitioner Scientist
• Schools teach practitioners the ability to
  understand and implement research in the practice
  arena.
• University/Agency Partnership
• University faculty and agency practitioners
  partner to work on intervention research.
• Agency Research Unit
• Unit provides the resources to hire a full time
  intervention research specialist.

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Future of Intervention Research

• Quantity of intervention research.
• Quality of intervention research.
• Recognition of importance of intervention
  research by stakeholders.
• Collaboration in engaging in intervention
  research.
• Inclusion in university curriculum
• Dont lose critical nature of clinical expertise
  and practice wisdom,